Great Lakes Bioneers -- Registration

October 17-19, 2008
Maxine Goodman Levin College of Urban Affairs
Cleveland State University

Registration Fees 3-Days 2-Days 1-Day
Regular Rate $150 $110 $60
Activist and Student $80 $60 $35
(A $5.00 surcharge will be added for on-site registration.)

Continental breakfast, afternoon snacks, and Sunday brunch included in registration. Pre-purchase lunch for Friday and/or Santurday ($10) or bring your own.

Activist: Volunteer, board member, or staff of social profit (not-for profit) organization.

Student: Copy of current student ID.

Scholarships: Available for youth (13-23) and low-income. Call 216-523-7330 for information.

Volunteer: Reduced fees in return for volunteer assistance. Contact Kathy Hexter at k.hexter@csuohio.edu or (216) 523-7330.

Presenters: Free registration on day of workshop.

National Bioneers Membership: Registration will be discounted by $5/day (see http://www.bioneers.org). A portion of registration fees supports the national Bioneers organization.

Registration

Name

Affiliation

Address

City State Zip

*Email

*Day-time Telephone Number
*Please provide at least one form of contact. Both email and phone are encouraged.

Can we add you to our mailing list? Yes No

Days Attending

Friday Saturday Sunday

Register for all three days

Regular Rate $150.00

Student/Activist Rate $80.00

Register for two days

Regular Rate $110.00

Activist/Student Rate $60.00

Register for one day

Regular Rate $60.00

Activist/Student Rate $35.00

Lunch at CSU MUST be pre-ordered

I am purchasing a lunch ($10) Friday Saturday I would like the vegetarian option.

I expect to attend Sunday brunch (included in the Sunday registration fee).

I will attend the Sunday boat tour ($10). Holiday Dock, Holiday - Trident Corp, 1800 Scranton Rd., Cleveland, OH

I would like to make an additional donation.
Amount:

The remaining selections are items with no additional fees, however, your answers will help us plan the event.

"Catch the Wave" kick-off fashion show and party: One ticket included in the registration.

Folk Music Concert: Three tickets included in the registration.

Tours: Pre-registration required. Number of participants is limited. PLease arrive at least 15 minutes before the tour is scheduled to leave. Indicate below which tours you will be attending. (See website for more tour information.) All lunch stops are dutch treat except where noted.

Friday:
Urban Nature Hike (Lunch at CSU)

Saturday:
Cosmic Walk at River's Edge (Lunch stop)
Toward Zero Waste (Lunch stop)
The Perfect Storm (Lunch stop)
Detroit Shoreway and Gordon Square (Lunch stop)
Urban Gardens, Farms, and Markets (Lunch stop)
Near West Side Bike Tour (Lunch at CSU)
From the Lake to Your Glass (Lunch at CSU)
Building with Clay and Straw (Lunch stop)
Cuyahoga Valley Initiative Workshop and Tour (Lunch stop)

So we can better understand who attends, we invite you to share the following optional information:

Are you: M F

Age Group: Under 25 25-40 41-54 55+

Racial identification

Please indicate which sector you represent.
Non-Profit
Private Sector
Government
Academia
Entrepreneur
Student
Citizen
Retired
Other

How did you hear about Bioneers?

Payment Information:

Check
Credit Card
Purchase Order

  or
This page is maintained by the Maxine Goodman Levin College of Urban Affairs Technology Team at Cleveland State University

Cleveland State University  •   2121 Euclid Avenue, Cleveland, Ohio 44115  •  216.687.2000

This page last modified Thursday, 14-Aug-2008 08:55:11 EDT